Applying a new conceptual framework to evaluate tuberculosis surveillance and action performance and measure the costs, Hillsborough County, Florida, 2002

Annals of Epidemiology
Scott J N McNabbMarisa Moore

Abstract

Tuberculosis (TB) elimination is an important US public health goal and improving the performance of TB surveillance and action and reducing the costs will help achieve it. But, there exists the need to better evaluate the performance and measure the costs. We pilot tested an evaluation strategy in Hillsborough County, Florida using a conceptual framework of TB surveillance and action with eight core and four support activities. To evaluate performance, we developed indicators and validated their accuracy, usefulness, and measurability. To measure the costs, we obtained financial information. In 2001, Hillsborough County reported 78 (7%) of the 1145 Florida TB cases. Nineteen (24%) were previously arrested. While 13 (68%) of the 19 were incarcerated during the 2 years prior to being reported, only 1 (5%) of 19 was reported from the jail. From 111 TB suspects, 219 (25%) of 894 sputum specimens were inadequately collected. Of the $1.08 million annual budget, 22% went for surveillance, 29% for support, and 49% for action. This conceptual framework allowed measurement of TB surveillance and action performance and cost. The evaluation performed using it revealed missed opportunities for detection of TB cases and wasted resources. Th...Continue Reading

Citations

Nov 15, 2011·Epidemiology and Infection·J A DreweK D C Stärk
Jan 30, 2013·Journal of Public Health Management and Practice : JPHMP·Erika SamoffAnna E Waller
Dec 17, 2009·Annals of Epidemiology·Thaddeus L MillerStephen E Weis
Jun 5, 2015·American Journal of Infection Control·Michelle Odlum, Sunmoo Yoon
Dec 20, 2016·Annual Review of Public Health·Samuel L Groseclose, David L Buckeridge

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